Individual
ALYSSA M WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(207) 883-6680
Mailing address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(207) 883-6680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19428
ME
1041C0700X
Clinical Social Worker
MC17379
ME
Other
Enumeration date
09/25/2018
Last updated
04/09/2021
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